[Congressional Bills 119th Congress]
[From the U.S. Government Publishing Office]
[H.R. 6526 Introduced in House (IH)]

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119th CONGRESS
  1st Session
                                H. R. 6526

  To amend title 38, United States Code, to require the Secretary of 
    Veterans Affairs to establish and maintain a publicly available 
 directory of health care providers that accept assignments under the 
                CHAMPVA program, and for other purposes.


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                    IN THE HOUSE OF REPRESENTATIVES

                            December 9, 2025

   Mrs. Kiggans of Virginia introduced the following bill; which was 
             referred to the Committee on Veterans' Affairs

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                                 A BILL


 
  To amend title 38, United States Code, to require the Secretary of 
    Veterans Affairs to establish and maintain a publicly available 
 directory of health care providers that accept assignments under the 
                CHAMPVA program, and for other purposes.

    Be it enacted by the Senate and House of Representatives of the 
United States of America in Congress assembled,

SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Clarity on Care Options Act''.

SEC. 2. PUBLICLY AVAILABLE DIRECTORY OF HEALTH CARE PROVIDERS THAT 
              ACCEPT ASSIGNMENTS UNDER THE CHAMPVA PROGRAM.

    (a) Annual Query.--The Secretary of Veterans Affairs shall require 
each entity that administers a network of health care providers under 
section 1703 of title 38, United States Code, to, on an annual basis--
            (1) query each provider in such network to determine 
        whether the provider accepts assignments under the CHAMPVA 
        program; and
            (2) submit the results of such queries to the Secretary.
    (b) Directory.--Utilizing the information submitted under 
subsection (a) and any other information available to the Secretary, 
the Secretary shall establish and maintain a publicly available 
directory of providers in such networks that accept assignments under 
the CHAMPVA program.
    (c) Implementation.--
            (1) Annual queries.--The first queries required by 
        subsection (a) shall be completed, and the results submitted to 
        the Secretary, not later than 90 days after the date of the 
        enactment of this Act.
            (2) List of providers.--The first directory of providers 
        required by subsection (b) shall be made publicly available not 
        later than 180 days after the date of the enactment of this 
        Act.
    (d) Annual Report.--Not later than one year after the date of the 
enactment of this Act, and annually thereafter for four additional 
years, the Secretary shall submit to Congress a report on the extent to 
which the providers in such networks accept assignments under the 
CHAMPVA program. The report shall include the following information, 
broken down by State (as defined in section 101 of title 38, United 
States Code) and by Veterans Integrated Service Network:
            (1) The number of providers in such networks that accept 
        assignments under the CHAMPVA program.
            (2) The percentage of providers in such networks that 
        accept assignments under the CHAMPVA program and the percentage 
        of providers in such networks that do not accept such 
        assignments.
            (3) The specific geographical areas that contain CHAMPVA 
        program beneficiaries but do not contain providers that accept 
        assignments under the CHAMPVA program.
    (e) Definitions.--In this section:
            (1) The term ``accept assignment'', with respect to the 
        CHAMPVA program, means to accept responsibility for the care of 
        a CHAMPVA program beneficiary and thereby agree to accept the 
        amount determined allowable under the CHAMPVA program as full 
        payment for services and supplies rendered to the beneficiary.
            (2) The term ``CHAMPVA program'' means the Civilian Health 
        and Medical Program of the Department of Veterans Affairs under 
        section 1781 of title 38, United States Code, and Part 17 of 
        title 38, Code of Federal Regulations.
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